Jackson W. Penry, MD
NPI 1003055401ActiveIndividual· Radiology, Diagnostic Radiology· Mission Viejo, CA
Radiology, Diagnostic Radiology (MD) in Mission Viejo, California, trained at Ohio State University College of Medicine (class of 2006). Medicare paid $332,754 for services to 1,863 patients in 2024.
Overview
| NPI | 1003055401 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 10, 2009 |
| Last updated in NPPES | Jul 29, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | A114302 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,863 |
|---|---|
| Services billed | 22,699 across 164 procedure codes |
| Paid by Medicare | $332,754 |
Education and affiliations
| Medical school | Ohio State University College of Medicine |
|---|---|
| Graduation year | 2006 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Beverly Radiology Medical Group IIICorona, CA · 328 clinicians
- Desert Advanced Imaging Medical CenterPalm Springs, CA · 208 clinicians
- Fresno Imaging CenterSan Marcos, CA · 133 clinicians
- Kern Radiology Medical Group IncBakersfield, CA · 100 clinicians
- Ihs Radiology Medical Group IncOceanside, CA · 65 clinicians
- Modesto Advanced Diagnostic Imaging Medical CenterModesto, CA · 65 clinicians
- North County Radiology Associates IncEscondido, CA · 16 clinicians
Hospital affiliations
- Palomar Health Downtown CampusEscondido, CA
- Palomar Medical Center PowayPoway, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All Radiology, Diagnostic Radiology providers in California →